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MTA和CEM骨水泥联合胶原膜治疗Ⅱ度根分叉病变的疗效

Efficacy of MTA and CEM Cement with Collagen Membranes for Treatment of Class II Furcation Defects.

作者信息

Ghanbari Habib Ollah, Taheri Morteza, Abolfazli Salman, Asgary Saeed, Gharechahi Maryam

机构信息

Associate Professor, Department of Periodontics, Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Assistant Professor, Department of Periodontics, Dental Research Center, School of Dentistry, Ahvaz University of Medical Sciences, Ahvaz, Iran.

出版信息

J Dent (Tehran). 2014 May;11(3):343-54. Epub 2014 May 31.

PMID:25628670
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4290763/
Abstract

OBJECTIVES

This study aimed to compare the efficacy of MTA and CEM cement in Class II furcation defects in human mandibular molars.

MATERIALS AND METHODS

Forty furcation defects were treated in 16 patients with chronic periodontitis. The clinical parameters of probing depth (PD), vertical and horizontal clinical attachment levels (VCAL and HCAL), open vertical and horizontal furcation depths (OVFD and OHFD), and gingival margin level (GML) were measured at baseline and at 3- and 6-month (re-entry surgery) postoperatively. Data were analyzed at a significance level of P<0.05.

RESULTS

Use of MTA and CEM caused significant decreases in PD, VCAL, HCAL, OVFD and OHFD at re-entry, with no statistically significant differences between the two treatment options in soft and hard tissue parameters.

CONCLUSION

Both treatment modalities caused significant gains in attachment levels and bone fills, proving efficacy for treatment of Class II furcation involvements.

摘要

目的

本研究旨在比较MTA和CEM骨水泥治疗人类下颌磨牙Ⅱ度根分叉病变的疗效。

材料与方法

对16例慢性牙周炎患者的40处根分叉病变进行治疗。在基线以及术后3个月和6个月(再次手术时)测量探诊深度(PD)、垂直和水平临床附着水平(VCAL和HCAL)、垂直和水平根分叉开放深度(OVFD和OHFD)以及牙龈边缘水平(GML)等临床参数。数据在P<0.05的显著性水平上进行分析。

结果

再次手术时,使用MTA和CEM骨水泥均使PD、VCAL、HCAL、OVFD和OHFD显著降低,两种治疗方法在软组织和硬组织参数方面无统计学显著差异。

结论

两种治疗方式均使附着水平和骨填充有显著改善,证明对Ⅱ度根分叉病变的治疗有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848b/4290763/fc71f46fc958/jod-11-343f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848b/4290763/df7da6f136f2/jod-11-343f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848b/4290763/9096219548cb/jod-11-343f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848b/4290763/fc71f46fc958/jod-11-343f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848b/4290763/df7da6f136f2/jod-11-343f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848b/4290763/9096219548cb/jod-11-343f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848b/4290763/fc71f46fc958/jod-11-343f3.jpg

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本文引用的文献

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Cytotoxic effect of MTA and CEM cement in human gingival fibroblast cells. Scanning electronic microscope evaluation.MTA和CEM水门汀对人牙龈成纤维细胞的细胞毒性作用。扫描电子显微镜评估。
N Y State Dent J. 2012 Mar;78(2):51-4.
2
Osseous reaction to implantation of two endodontic cements: Mineral trioxide aggregate (MTA) and calcium enriched mixture (CEM).两种根管封填材料:矿物三氧化物聚合体(MTA)和钙加强型水泥(CEM)的植入骨反应。
Med Oral Patol Oral Cir Bucal. 2012 Sep 1;17(5):e907-11. doi: 10.4317/medoral.18136.
3
Histological and histomorphometrical evaluation of furcation perforations filled with MTA, CPM and ZOE.
逆行性MTA和磷酸三钙/逆行性MTA用于犬模型牙周裂缺陷引导组织再生的初步研究。
Biomater Res. 2019 Aug 28;23:14. doi: 10.1186/s40824-019-0163-0. eCollection 2019.
用 MTA、CPM 和 ZOE 填充的分叉穿孔的组织学和组织形态计量学评估。
Int Endod J. 2011 Feb;44(2):100-10. doi: 10.1111/j.1365-2591.2010.01803.x. Epub 2010 Oct 12.
4
Periradicular regeneration after endodontic surgery with calcium-enriched mixture cement in dogs.犬用富钙混合水泥进行根管手术后的根尖周再生。
J Endod. 2010 May;36(5):837-41. doi: 10.1016/j.joen.2010.03.005.
5
Effect of two storage solutions on surface topography of two root-end fillings.两种储存溶液对两种根尖充填材料表面形貌的影响。
Aust Endod J. 2009 Dec;35(3):147-52. doi: 10.1111/j.1747-4477.2008.00137.x.
6
The adjunctive use of platelet-rich plasma in the therapy of periodontal intraosseous defects: a systematic review.富血小板血浆在牙周骨内缺损治疗中的辅助应用:系统评价。
J Periodontal Res. 2010 Jun;45(3):428-43. doi: 10.1111/j.1600-0765.2009.01236.x. Epub 2009 Nov 9.
7
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Repair of furcal perforation using a new endodontic cement.使用新型根管水泥修复叉状穿孔。
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